BC Client Registry FHIR Implementation Guide
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: HCIM Patient Change Distributions Topic - XML Representation

Active as of 2026-03-25

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<SubscriptionTopic xmlns="http://hl7.org/fhir">
  <id value="HCIMPatientChangeDistributionTopic"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: SubscriptionTopic HCIMPatientChangeDistributionTopic</b></p><a name="HCIMPatientChangeDistributionTopic"> </a><a name="hcHCIMPatientChangeDistributionTopic"> </a><table class="grid"><tr><td><b>SubscriptionTopic</b></td><td>HCIM Patient Change Distributions Topic</td></tr><tr><td><b>Description</b></td><td><div><p>This is the subscription topic used for subscribing to different change distributions.</p>
</div></td></tr><tr><td><b>Copyright Statement:</b></td><td> null</td></tr></table><table class="grid"><tr><td colspan="1"><b>Event Triggers</b></td></tr><tr><th><b>Resource</b></th></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr><tr><td><a href="http://hl7.org/fhir/R4/patient.html">http://hl7.org/fhir/StructureDefinition/Patient</a></td></tr></table><table class="grid"><tr><td colspan="2"><b>Can Filter By</b></td></tr><tr><th><b>Filter Parameter</b></th><th><b>Comparators</b></th></tr><tr><td>eventCode</td><td>Equals</td></tr></table></div>
  </text>
  <url
       value="http://hlth.gov.bc.ca/fhir/client/SubscriptionTopic/HCIMPatientChangeDistributionTopic"/>
  <version value="1.0.0"/>
  <name value="HCIMPatientChangeDistributionsTopic"/>
  <title value="HCIM Patient Change Distributions Topic"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-25T21:29:12+00:00"/>
  <publisher value="BC Ministry of Health"/>
  <contact>
    <name value="BC Ministry of Health"/>
    <telecom>
      <system value="url"/>
      <value
             value="https://www2.gov.bc.ca/gov/content/governments/organizational-structure/ministries-organizations/ministries/health"/>
    </telecom>
  </contact>
  <description
               value="This is the subscription topic used for subscribing to different change distributions."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CA"/>
      <display value="Canada"/>
    </coding>
  </jurisdiction>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="COMP"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="DEATH"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="EID"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="NEW"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="NEWBORN"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="NEWBORNGENDER"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="PHN"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="PHNJOIN"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="MERGE"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <eventTrigger>
    <event>
      <coding>
        <system
                value="https://terminology.hlth.gov.bc.ca/ClientRegistry/CodeSystem/bc-client-registry-patient-change-notification-events"/>
        <code value="SSRISYNC"/>
      </coding>
    </event>
    <resource value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  </eventTrigger>
  <canFilterBy>
    <description value="The type of patient change events to be notified."/>
    <filterParameter value="eventCode"/>
    <comparator value="eq"/>
  </canFilterBy>
</SubscriptionTopic>